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Organization
CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC
Active
Organization
CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNA WILLIAMS SLP (OWNER)
(251) 751-1687
Entity
Organization
Contact information
Practice address
1001 COLLEGE AVE, JACKSON, AL 36545-2402
(251) 769-0021
Mailing address
PO BOX 759, CHATOM, AL 36518-0759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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